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Response to: ‘Pleural abnormalities in the Framingham Heart Study: prevalence and CT image features’ by Araki et al
  1. Alfred Franzblau1,
  2. Vinicius C Antao2,
  3. Germania Pinheiro3,
  4. Theodore Larson3
  1. 1 School of Public Health, University of Michigan, Ann Arbor, Michigan, USA
  2. 2 Healthcare Research Institute, Hospital for Special Surgery, New York City, New York, USA
  3. 3 Division of Toxicology and Human Health Sciences, Agency for Toxic Substances and Disease Registry, Atlanta, Georgia, USA
  1. Correspondence to Dr Alfred Franzblau; afranz{at}

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The report by Araki et al is important for a number of reasons, most significantly that it is the first-ever study of pleural abnormalities potentially related to asbestos in a large, general population (the Framingham Heart Study (FHS) Third Generation cohort) that is based on chest CT scans rather than chest radiographs.1 Pleural abnormalities were reported to be present in 1.5% of the study population. A key conclusion of the study was that the prevalence of pleural abnormalities in the present study was significantly lower than …

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  • Contributors Each author has participated sufficiently in this submission to take public responsibility for its content. Publication has been approved by all authors.

  • Competing interests AF has served as an expert witness in asbestos litigation.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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